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JOHN SIMMONS FNP-C
NPI 1164822813
Nurse Practitioner in Gallup, NM

Active since August 31, 2014PECOS EnrolledAccepts Medicare Assignment
520 NM HIGHWAY 564, GALLUP, NM 87301(505) 542-0090(520) 542-0155 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John Simmons Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN SIMMONS FNP-C (NPI 1164822813) is an individual nurse practitioner in Gallup, New Mexico, licensed in New Mexico (CNP-02772) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1164822813
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOHN SIMMONSCredential: FNP-C
Location Address520 NM HIGHWAY 564Gallup, NM 87301-4873
Mailing Address9192 W Union Hills DrPeoria, AZ 85382-8208 · (602) 374-4101 · Fax (602) 441-0522
Phone(505) 542-0090
Fax(520) 542-0155
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 31, 2014
Last NPPES UpdateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1164822813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NM · CNP-02772
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP126129 (TX)
520 NM HIGHWAY 564, Gallup, NM 87301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Simmons Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608198494
PECOS Enrollment IDI20250609001393
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEANNA MARIE HOFFMAN MD
Internal Medicine
520 NM HIGHWAY 564
GALLUP, NM 87301
McKinley County (505) 722-7234
NEW MEXICO VASCULAR CONSULTING LLC
Surgery
520 NM HIGHWAY 564
GALLUP, NM 87301
McKinley County (505) 542-0090
RMCHCS URGENT CARE, LLC
Clinic/Center (Urgent Care)
520 NM HIGHWAY 564
GALLUP, NM 87301
McKinley County (505) 863-7000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Simmons's NPI number?

The NPI number for John Simmons is 1164822813. It was assigned to this individual provider in the NPPES registry on August 31, 2014.

Where is John Simmons located?

John Simmons practices at 520 Nm Highway 564, Gallup, NM 87301. The listed phone number is (505) 542-0090.

What is John Simmons's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is John Simmons enrolled in Medicare?

Yes. John Simmons is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Simmons accept?

Health plans from Blue Cross and Blue Shield of Texas list John Simmons as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Simmons was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.